Active NPI
Jeremy Seth Nehleber, D.M.D
- Periodontics
- New York, NY
National Provider Identifier
1447506100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 055386
- Practice address
- 531 E 20TH St Apt 9F
New York, NY 10010-7610 - Phone
- (352) 219-7337
- NPI assigned
- Jul 31, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 055386 | NY | Primary |
| Periodontics | 1223P0300X | DN18331 | FL |
Addresses
Primary practice location
531 E 20TH St Apt 9F
New York, NY 10010-7610
Mailing address
531 E 20TH St Apt 9F
New York, NY 10010-7610
Phone (352) 219-7337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN18331 | FL | MD | Periodontist |
| 055386 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343692800000",
"number": "1447506100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 E 20TH ST APT 9F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107610",
"telephone_number": "352-219-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 E 20TH ST APT 9F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100107610",
"telephone_number": "352-219-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEHLEBER",
"first_name": "JEREMY",
"middle_name": "SETH",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-31",
"last_updated": "2012-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "055386",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "FL",
"license": "DN18331",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.